State departments of transportation (DOTs) face many challenges today. Acquiring adequate staffing, managing critical assets, dealing with political issues at federal, state and local levels, and serving a public with ever higher expectations are just a few. It has never been more difficult to take a project from concept, through development and construction, and provide a completed road or highway. The process can take more than a decade under the best of circumstances. State DOTs seek a better understanding of what the impediments are and how they might be addressed. This study, entitled “Identification of Cross-Cutting Issues Related to the Development, Management, and Delivery of Transportation Projects and Programs” was intended to assist these agencies to more effectively deliver on their capital improvement programs.  The study identifies a range of critical issues impacting project deliveyr, including Environmental Impacts, Funding, Utilities, Organizational Issues, Public Involvement, and Design Criteria.  The report offers an effective collection of ideas state DOTs can adopt to responsibly address major impediments to their work.  The final report has been submitted to AASHTO and can be downloaded here.